Form F207-239-000 Authorization for Third Party to Act on Behalf of a Self-insured Employer - Washington

What Is Form F207-239-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F207-239-000 used for?
A: This form is used to authorize a third party to act on behalf of a self-insured employer in Washington.

Q: Who can use this form?
A: This form can be used by self-insured employers in Washington who want to grant a third party the authority to act on their behalf.

Q: What kind of authority can be granted through this form?
A: This form allows the authorized third party to perform certain actions on behalf of the self-insured employer, such as filing documents or representing them in legal matters.

Q: Are there any fees associated with submitting this form?
A: There are no fees associated with submitting this form. However, there may be fees for certain services provided by the authorized third party.